How much rates vary
Facilitymedian $87 · 10th to 90th $47 to $240Professionalmedian $35 · 10th to 90th $20 to $46
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $66.07 | Facility | None | $25.70 | $36.31 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $100.00 | Facility | TC · Technical part | $24.55 | $33.88 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $45.71 | Professional | None (both parts) | $30.90 | $34.67 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $8.13 | $10.47 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $30.20 | Professional | TC · Technical part | $20.89 | $24.55 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $46.77 Median $117.49 Typical High $275.42 | Facility | None | $46.77 | $117.49 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $42.66 | Professional | None (both parts) | $38.02 | $40.74 | $42.66 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $12.30 | Professional | 26 · Professional part | $9.55 | $10.47 | $12.30 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $28.18 | $30.20 | $30.20 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $7.94 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $104.71 | Facility | None | $46.77 | $69.18 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.38 Typical High $45.71 | Professional | None (both parts) | $19.05 | $21.38 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.50 Typical High $13.80 | Professional | 26 · Professional part | $5.13 | $5.50 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $15.85 Typical High $33.88 | Professional | TC · Technical part | $14.13 | $15.85 | $33.88 |
United Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $288.40 | Facility | None | $120.23 | $158.49 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $20.89 | $30.90 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $8.51 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.38 Typical High $30.20 | Professional | TC · Technical part | $14.13 | $21.38 | $30.20 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $12.30 Median $18.20 Typical High $50.12 | Facility | 52 · Reduced service | $12.30 | $18.20 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $7.24 Typical High $19.95 | Facility | 53 · Discontinued | $4.90 | $7.24 | $19.95 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.50 Median $27.54 Typical High $79.43 | Facility | FX · Film X-ray | $19.50 | $27.54 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $17.38 Typical High $19.05 | Professional | 52 · Reduced service | $16.98 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.59 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $28.18 Typical High $30.20 | Professional | FX · Film X-ray | $27.54 | $28.18 | $30.20 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 30th of 51
$37.15
AK $95.50FL $25.70
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.